Jimenez Manuel E, Barg Frances K, Guevara James P, Gerdes Marsha, Fiks Alexander G
J Health Care Poor Underserved. 2013 Aug;24(3):1053-62. doi: 10.1353/hpu.2013.0141.
To compare parents' experience with the early intervention (EI) referral process based on health literacy level.
We interviewed 44 parents of children referred to EI by their pediatricians. Parents completed the Newest Vital Sign (NVS) health literacy assessment. We analyzed transcripts using modified grounded theory and compared themes based on health literacy.
Forty parents completed the NVS. Twenty-eight (70%) had adequate health literacy. Four primary themes differed between parents based on health literacy level. Parents with low health literacy commonly reported that: (1) they lacked continuity with a single pediatrician, (2) they had difficulty contacting EI, (3) they were confused about EI or the referral process (4) their pediatricians did not explain EI and written materials were not helpful.
Parents with low health literacy commonly reported difficulty with EI referrals including contact problems and confusion. Strategies that accommodate parents with low health literacy level may improve referral success.
比较基于健康素养水平的家长在早期干预（EI）转诊过程中的经历。
我们采访了44位由儿科医生转诊至EI的儿童的家长。家长们完成了最新生命体征（NVS）健康素养评估。我们使用改良的扎根理论分析访谈记录，并根据健康素养比较主题。
40位家长完成了NVS。28位（70%）具备足够的健康素养。基于健康素养水平，家长之间存在四个主要主题差异。健康素养低的家长通常报告说：（1）他们与单一儿科医生缺乏连续性，（2）他们难以联系EI，（3）他们对EI或转诊过程感到困惑，（4）他们的儿科医生没有解释EI，书面材料也没有帮助。
健康素养低的家长通常报告在EI转诊方面存在困难，包括联系问题和困惑。适应健康素养低的家长的策略可能会提高转诊成功率。
